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ARCHIVED REPORTS_XR0004041
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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L
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LINCOLN
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1426
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2900 - Site Mitigation Program
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PR0527611
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ARCHIVED REPORTS_XR0004041
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Entry Properties
Last modified
3/4/2020 3:00:44 PM
Creation date
3/4/2020 2:16:22 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0004041
RECORD_ID
PR0527611
PE
2957
FACILITY_ID
FA0018709
FACILITY_NAME
FORMER DOLLY MADISON
STREET_NUMBER
1426
Direction
S
STREET_NAME
LINCOLN
STREET_TYPE
ST
City
STOCKTON
Zip
95206
APN
16503010
CURRENT_STATUS
01
SITE_LOCATION
1426 S LINCOLN ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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� �■ �ti� !a .�!���� La�,x���t!����������■>�>< tier. �� <br /> 1433 North Market Boulevard,Sacramento,CA 95834 Service Request No &�Vl Purchase Order # <br /> mon (916)928-3300 FAX(916)928-3341 Lab CAS <br /> Project Name IBC-Stockton Analysts Requested <br /> Project Number 22605-100001 ` <br /> Project Manager Claudio Avila N <br /> Company EMCON c <br /> Address 1433 North Market Boulevard <br /> 0 <br /> Sacramento,CA 95834 0 <br /> Phone (916)928-3300 <br /> FAX (916)928-3341 <br /> Sampler's Signature v <br /> cam. REMARKS <br /> F <br /> Sample ]�. A Sample <br /> I CcmlruiLr 1)PLS <br /> D Date Ti I D Matrix Ilu Pn,Lry it,un, <br /> MW-1 'VL11y i 2 2 <br /> MW-2 4 t7-z5 2 2 <br /> J RE INQUISHED BV RE(ONIFD BY RELINQUISHED Bl RECEIVED 131 TURNAROUND REPOR I RFQUIRF NII N IS <br /> REQUIREMENTS X I Routmc.RLport <br /> i�Ll Sl nat e St aiure un SignaturL Signature 24 hr 48 hr i day II RLpori(mLliidLS Dt 11' NN <br /> ,(�/Zr` T i 117 s� ,� ,plf�..��) X Standa'd i 10 I S wutAingdars) h1SD as rlc�utrtll min h� <br /> ( Printed Name Printed Name Ler Printed NainL Printed NamL Pfo�ide%erbal Prdmunar}Results Lhargtd as sanipiL,) <br /> 6 :�:; Pmstde r tK Prelim mare Revulry III Data V911(lallU]]RLpcSri <br /> \ I iCm I Irm /� <br /> I]ainW� irnl I Urn Requested Report Date (inLllldLS All Ra%% Dala) <br /> 11'1 <br /> tePI re te1T me � ` C X Datefr1mL Date/Tinic (N1D1s1P0I s!I I(AC l d) <br /> RFLINQUISHED Bl RECEIVED BV Special Instructions/Comments C crntautcr 15 PLs Kt.} <br /> ��� �� �G� 40 int VuA 1 <br /> \ Signature Signature <br /> � 2;n ml I Pt z <br /> SUU ml f P1 3 <br /> \ Printtd Name Printed Name / Pj/Z G3�3�17 l IltLr I ID111 4 <br /> ;UU ml glass 5 <br /> 1[rill f Irm GI I I1ter glass 6 <br /> 20 sls ring 7 <br /> 1)ItLfI imL Dalctl Ime glas,Jar 8 <br />
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